Utilization Review Jobs in Albuquerque
1 - 15 of 21
Search Results - Utilization Review Jobs in Albuquerque
Albuquerque
and Hours
Qualifications:
RN with Hospital Utilization review experience preferred
RN-Case Management I:
• Associate Degree in Nursing
• Registered Nurse - State of New Mexico or Compact State Nursing License required.
• National Case Management...
icims.com -
Presbyterian Healthcare Services-Albuquerque
in Nursing
• Registered Nurse - State of New Mexico or Compact State Nursing License required.
• National Case Management certification preferred
• Two years clinical nursing experience in relevant clinical practice area with utilization review or case...
University of New Mexico - Hospitals-Albuquerque
of the Documentation Improvement Program and identified quality indicator tracking elements, interpret tracking information and reports findings to the Health Information Management, Quality Management, and Utilization Review/Case Management meetings as requested...
University of New Mexico - Hospitals-Albuquerque
of the Documentation Improvement Program and identified quality indicator tracking elements, interpret tracking information and reports findings to the Health Information Management, Quality Management, and Utilization Review/Case Management meetings as requested...
MediTelecare-Albuquerque
as needed
• Provide consultation to facility staff on behavioral interventions, nursing practice, and psychopharmacology including writing orders for medications, as appropriate
• Participate in case reviews, consultations and utilization review
• Respond...
CenterWell Home Health-Albuquerque
when needed. Ensures adherence to internal policies and standards.
• Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion...
University of New Mexico - Hospitals-Albuquerque
Job Description
This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance authorization throughout the stay .
Minimum Offer
$40.30/hr.
Maximum Offer
$40.30...
Mindlance-Albuquerque
processing, utilization review, etc.
11. Process provider change forms. Maintain tickler system and verify that all changes have been made in the appropriate system.
12. Prepare monthly reports and update provider databases as necessary. Assist with routine...
resume-library.com -
Presbyterian Healthcare Services-Albuquerque
as necessary and acts as an effective problem solver.
• Exemplifies a high standard of leadership qualities and professionalism. Mentors the staff in developing and achieving professional goals.
• Performs Utilization Review
• Performs other functions...
University of New Mexico - Hospitals-Albuquerque
with appropriate providers to ensure effective, quality outcomes * INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up...
Encompass Health-Albuquerque
documentation to post discharge providers/physicians.
• Ensure accuracy of discharge and payor-related information in the patient record.
• Participate in utilization review process: data collection, trend review, and resolution actions.
• Participate in case...
University of New Mexico - Hospitals-Albuquerque
effective, quality outcomes
• INTERVENTIONS
• Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
• VARIANCE...
Albuquerque
effective and quality outcomes in a primarily inpatient setting, including complex discharge planning.
Performs Utilization Management clinical review to ensure that services rendered to members meet clinical criteria and are delivered in the appropriate...
icims.com -
University of New Mexico - Hospitals-Albuquerque
and utilization review, maintaining interdependent follow
• up as necessary
• VARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategies
• TREATMENT CONFERENCE
• Facilitate and/or participate...
Albuquerque
requests according to established evidenced based criteria. Screens prior authorization requests not meeting guidelines and requests/gathers/forwards additional information.
• May conduct utilization review by monitoring daily prior authorization requests...
icims.com -
12
Companies now hiring in Albuquerque:
Utilization Review jobs in Albuquerque – Similar offers:
Utilization Review jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Review, Albuquerque
It's free, and you can cancel email updates at any time
12